基于自动审核的病例判断提示系统的构建与探讨

目的基于检验结果的自动审核,构建病例判断提示系统。方法以甲状腺功能检测为例,根据已发表文献构建疾病模型病例库,患者检测结果经模型匹配和运算,系统根据匹配结果显示辅助临床决策内容。结果建立并运行甲状腺系统病例库,95%以上报告附有辅助临床决策内容,仅有3.4%的甲状腺功能报告单需人工重点关注。结论病例判断提示系统提供的检验诊断服务可提高效率。

Construction and discussion of case detection and prompting system based on autoverification

Objective Establish a case detection system that integrates all the test results, providing inspection and diagnosis services. Method Expand the existing autoverification, integrate the results of each test, based on the different matching mode, according to the matching value and threshold, retrieve the case base to get the inspection diagnosis. Results Six series of interdisciplinary case databases including hepatitis, thyroid and thalassemia have been established and operated. Only 3.4% of thyroid function reports need manual attention. Conclusion Case diagnosis suggests that the test and diagnosis service provided by the system can enhance readability and enhance clinical services.